PREVENTION OF MALAIRA IN PREGNANCY (PMIP) – INFORMATION COMPREHENSION, MOTIVATIOIN AND ADHEREANCE AMONGST ANTENATAL CLINIC ATTENDEES IN TARABA, NIGERIA- A DESCRIPTIVE SURVEY.

Abstract

Background:

Malaria constitutes grave consequences on the health of the mother and her fetus especially, in sub-Saharan Africa where the burden is most severe.

Methodology:

This study utilizes a descriptive survey design to optimize Malaria in Pregnancy Prevention (MIPP) Information Adherence to at least a 95% prevalence rate and improve appointment keeping to 100%. The information Motivation Behavioral skills model (IMB) was used to explain how MIPP information adherence can be achieved efficiently in malaria treatment. A validated questionnaire was used to gather information from 384 ANC attendees. This followed ethical permission from the Taraba state ministry of Health and informed consent from participants. Descriptive statistics and frequency distributions were employed in the analysis of data. Simple linear regression analysis was used to determine the relationship among variables.

Results:

The respondents' mean age was 29.38 ± 8.73. The majority were married (88%), self-employed (40.1%), Christians (73.7%) of Kuteb ethnic origin (25.3%), and having secondary educational attainments (39.3%). A study on a 10-point scale reported the level of MIPP of malaria in pregnancy-related information, = 9.1 (0.86) ± 1.20 having a significant relationship with adherence (p<0.001); comprehension on a 40-point scale reported  =33.2 (0.43) ±8.43 also having a significant relationship with adherence (p<0.001): motivation on 18-points scale, scored, =13.5(14.4)  ±2.8) having a significant relationship with the outcome variable (p<0.001) and self-ported adherence on a 32-points scale, scored  = 21.6 (0.36) ±6.99

Conclusion:

Information is important but does not guarantee behavior change.

Recommendation:

Information should be accompanied by motivational components, to be more effective than the usual clinic-based health talk.